De Koning K.A., Kok M., Ormel H., Kane S., Rashid S., Sarker M., Gemechu D., Ahmed R., Syafruddin D., Otiso L., Namakhoma I., Sidat M., Tulloch O., Theobald S. and Taegtmeyer M. (2014) A common analytical framework on factors influencing performance of close-to-community providers: Synthesis of the inter-country context analysis in Bangladesh, Ethiopia, Indonesia, Kenya, Malawi and Mozambique and the international literature review, REACHOUT Consortium
This report presents a synthesis of findings on factors influencing the performance of closeto-community (CTC) providers. It is based on research conducted in six countries: Bangladesh, Ethiopia, Indonesia, Kenya, Malawi and Mozambique, and also on evidence from an international literature review that investigated factors influencing the performance of CTC providers.
In the first phase of the REACHOUT study, based on a preliminary reading of literature that included frameworks on the performance of the general health workforce and Community Health Workers (CHWs), we first developed an initial analytical framework on CTC providers’ performance. This initial framework guided both the international literature review and the six country context analyses. The former involved an extensive review (qualitative and quantitative peer-reviewed and grey literature). The latter involved a review of the country specific literature in each of the six study countries and a qualitative exploratory study to assess structures and policies of the health system, broad contextual factors and intervention design factors that form barriers to and facilitators of the performance of CTC providers and services. A comparative analysis of the findings from the six study countries is presented in this report.
This project is funded by the European Union.